View Full Version : Saw a new doc today, wants me to start taking an ssri to combat anxiety..

06-07-17, 07:55 PM
Diagnosed with ADD:PI in Oct 15, have since tried methylphenidate, vyvanse, adderall, and am now on dex. I've been feeling for a little while now like the dex isn't really doing much for me anymore, could be a matter of dosing, or switching back to an IR tab. But that's beside the point. Saw a new therapist today, talked about add, and a lot about anxiety as well. My anxiety has been off the charts lately, and it's causing a serious strain on my relationship, so I decided to bring it up with my current a DD specialist therapist, and she didn't really seem to have a lot of answers and kind of just shrugged it off. So I decided to go see someone else today, someone with a little bit more generalized background.

So this new therapist is of the opinion that my anxiety is far more troublesome than any of my previous doctors have thought, and has recommended that I begin taking an SSRI along with my ADD meds to combat the anxiety. I've been doing some reading on here, and I've seen mixed results about SSRI's combating anxiety, or making it worse. I'm not depressive, I definitely have my down days but I can almost absolutely tribute that to anxiety or add issues. I've never been suicidal, and even on my worst days I have never felt and anyway that I actually have any form of true clinical depression.

So like I said, I did some reading up on here, and now I'm quite uncertain as to what path I should take, or if I'm barking up another wrong tree here. I know we need to do something, and fast, I can't keep living like this and I'm about to ruin what looks to be the most wonderful thing that's ever happened to me. I've also talked to the new therapist about some non medication strategies, tools and ideas to learning uses to combat my anxiety, but I'm really unsure about this SSRI business after some of the things I read on here. Does anyone have any experience along these lines that can maybe shed a little bit of light on my situation?

06-07-17, 10:17 PM
If you can't change whatever is causing your anxiety and you actually have
anxiety disorder, SSRIs can be helpful. I've been taking generic Zoloft for about
5 years and it makes a huge difference.

06-08-17, 04:27 AM
There are some SSRI's and SNRI's that are good for anxiety and some that are more suited for depression. Both my daughters have anxiety and depression and they take Lexapro.

06-08-17, 01:17 PM
Thanks all! Going to my primary doc today to talk actual meds, we'll see what they say. Fingers crossed!

06-08-17, 02:34 PM
From what I've read on here, is it safe to assume that I should also ask for a slight increase in my dex prescription? It seems like a lot of people are reporting that the antidepressants actually make the ADD worse...

06-08-17, 06:43 PM
Well, the verdict is in. Zoloft 50mg, and switching back to IR dex 10mg x 3 per day. Fingers crossed, this will be my first foray into the realm of antidepressants.

06-09-17, 04:47 PM
Well this is interesting. Day 1,took my last 15mg dex ir and 50mg sertraline. Been somewhat antsy most of the day, not anxious per se but feel like I should be doing something. Dry mouth. Within the last 15 minutes I've been to feel slightly nauseous, nothing terrible though. I feel clammy, but it is 92 here today and I've been out and about all morning. Brain definitely feels a little spaced out, but nothing I can't handle. Can't shake the feeling that the next four to six weeks are going to be one hell of a roller coaster ride...

06-10-17, 12:38 PM
Nope! Nope! Nope! Nope! No way, noooooo how. I have too much going on right now to accept 4-6 weeks of adjustment to that stuff. Going back on Monday to discuss switching to klonopin on an as needed basis, at least until things settle down a bit first.

06-10-17, 02:11 PM
Nope! Nope! Nope! Nope! No way, noooooo how. I have too much going on right now to accept 4-6 weeks of adjustment to that stuff. Going back on Monday to discuss switching to klonopin on an as needed basis, at least until things settle down a bit first.

Dont get me wrong I dont think Benzos are automatically bad. They can do some good for people. They tend to be for more of an acute sort of anxiety or situation although some people do use it daily like you would an antidepressant. I think it would be worthwhile to stick it our with trials of SSRI's AND take a benzo while you adjust. Then once you have that level-ness and consistency, you can possibly ween off of them.

06-13-17, 12:00 AM
That's the plan, I'm just not in the right spot to go down that road just yet. I also want to see if adjusting my dex dose helps out at all, I know when it's working my anxiety is much better.

06-13-17, 12:29 AM
I have a coworker who takes 50mg Zoloft/day for anxiety, and it was life-changing for them...once again, life could be lived and enjoyed.

I trialled it for the same reason and within 72 hours I felt as if I had been neurologically poisoned. I entered a mental space where the inattentive part of my ADHD was grossly amplified. I was a danger to myself outside of home or work.

But it works for lots of folks, and works well. Don't take one anecdote and run with it...I just wanted to share because all this time later I'm still gobsmacked by the manner in which it disabled me.